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LE+ TRI AL PERMIT APPLICATION <br /> CITY`OF EVERETT PERMIT SERVICES <br /> ,3200 CEDAR STREET, EVERETT,WA 9820 <br /> fP:.425-2.7- O j FA 428:257 7 l(E).everette#a ever ttwa. y vwvw.everettwa gpvfpermits <br /> z (x_%-k-PROJEC 1"SITE IN.OR ITION' <br /> PRO TECT.ADfR . �.Es rett, WUA 982Q 1 <br /> BUILDING AREA(rf restdet tiali..new construction,remodel,or addition) SF <br /> BUILDING TYPE: CI;SFR DETACHED ©SFR ATTACHED El DUPLEX CI MULTI-FAMILY-It oi=UNITS ;Irl COMMERCIAL <br /> USE OF BUILDING: Freight Company <br /> `LECT ICAL APPLICATION INFORMATION <br /> l <br /> CONTRACT ORICF OFw0RK: 5(30: <br /> NUMBER OF DEVICES.(i#:tout! •Itt e) <br /> FIR .ALARM?. C rYI=S C1 <br /> •ASSOCIATED BUILDING PER j4f rpllcable) <br /> DESCRIPTION°OE WORK: 2 hour-loadtest:Dn new <br /> CONTACT INFORMATION <br /> OWNER NAME:Fedex Freight 1'.#+tNNT NAME(If Corrtmerd'at} <br /> OWNER MAILING ADDRESS:.. sin 625:Riverside <br /> ttr� <br /> cn y.Everett Si1T wA pp:98201 <br /> OWN PHONE:°425-394495 :: IoviINER,EMAIL. <br /> C. NTRACTORNAME: Cummins Irni✓ <br /> CONTRACTOR ADDRESS:: sr 1 800 Fryer Ave <br /> co Sumner ATA-T5 111tH 98391 <br /> CONTRACTOR PHONE 425=277-5343 CON T:RAOR.EMAIL. Keitll.Mpzo cumrnlins.Gom <br /> CONTRACTOR LIC'.#RREOUI teow % : Jl.I 111 CITY•OF EVERETT BUSINESS LIC #LREOUIR <br /> PRIMARY.CONTAttt. C OWNER I2I CONTRACTOR E OTfig0 Pleae; ci'y+l• <br /> ` <br /> CONTACT NAME: CONTACT PHONE: 425-277,5343 <br /> Keith Maze: CONTACT EMAIL:KaittL,Mazg@CUMITIOSCOITV <br /> AGREEMENT 1 hereby ceilify that.1have' and examined this application=and know Lite same o bs true,and coirect All vlsfcns Offaws and oMlnances=gover Ing this-type <br /> of work' +Jibe:completed,whetherspecifieedhereinornot The>grentingofapern does statpr�rmetagn euthonlyto-vialsle�:ercancel.the, rOionsofatry<othersta'te. " <br /> local lawregrrtatf rg construction or toerperformence of construction. That t am authorikOby the owner of thisproperty to perforr the work forwhlch application Is mane and f <br /> tontpty:Wdh 0**,0 to Csmtrectar*Law•la 2T R Gadd 296 200.WRC;, <br /> Cityof Everett.Otficiai tlse Onfy. <br /> PERMIT#: <br /> ,• E L(' - 03 <br /> Owner!Autharieed"Agent'signatu Data :(ReUlsod 9/23/2016) <br />